In assessing a patient's major risk factors for heart disease, which would the nurse want to include when taking a history?

Smoking, hypertension, obesity, diabetes, and high cholesterol

Personality type, high cholesterol, diabetes, and smoking

Alcohol consumption, obesity, diabetes, stress, and high cholesterol

Family history, hypertension, stress, and age

Answer and Explanation

The Correct Answer is A

A.   Smoking, hypertension, obesity, diabetes, and high cholesterol: These are all well-established major risk factors for heart disease and should be included in the patient's history.
B.   Personality type, high cholesterol, diabetes, and smoking: While personality type may contribute to stress, the other factors listed are more directly linked to heart disease.
C.   Alcohol consumption, obesity, diabetes, stress, and high cholesterol: Alcohol consumption may be a risk factor, but smoking and hypertension are more significant.
D.   Family history, hypertension, stress, and age: While family history, age, and hypertension are important, this option misses key factors like obesity, smoking, and diabetes.

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Correct Answer is ["A","B","E"]

Explanation

A. The timing of the murmur (systolic or diastolic) is an essential component of murmur assessment. It
helps in determining the cause of the murmur, whether it’s related to heart valves or flow.
B. Radiation refers to where the murmur can be heard best, or if it radiates to other parts of the chest or neck, helping to indicate the origin of the murmur.
C. Fremitus is a term used to describe the vibrations felt on the chest wall when a person speaks, which is unrelated to heart murmurs.
D. Egophony refers to an abnormal lung sound heard during auscultation and is not relevant to the assessment of a heart murmur.
E. The location where the murmur is heard best on the chest wall is crucial in determining its origin, such as whether it is coming from the aortic or mitral valve.

A. Lesions that run together. B. Annular lesions that have grown together. C. Lesions arranged in a line along a nerve route. D. Lesions that are grouped or clustered together.

Correct Answer is A

Explanation

A. Confluent lesions merge into each other, forming a larger area of affected skin.
B. Annular lesions are ring-shaped, not confluent, so this option does not match the description.
C. This describes a linear arrangement, such as with shingles, not confluent lesions.
D. Grouped or clustered lesions are not confluent but are typically close together, such as in herpes simplex infections.

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In assessing a patient's major risk factors for heart disease, which would the nurse want to include when taking a history?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A heart murmur should be assessed for which of the following? Select all that apply.

Correct Answer is ["A","B","E"]

Explanation

The nurse just noted from the medical record that the patient has a lesion that is confluent in nature. On examination, the nurse expects to find:

Correct Answer is A

Explanation

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What component of the conduction system is referred to as the pacemaker of the heart?

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